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SHOPKO PHARMACY
NPI 1376842286
Pharmacy - Community/Retail Pharmacy in Princeton, MN

Active since March 17, 2011
705 NORTHLAND DR, PRINCETON, MN 55371(763) 389-3111(763) 389-1621 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY (NPI 1376842286) is a healthcare organization registered as a community/retail pharmacy in Princeton, Minnesota and active in the NPI registry since March 2011. The organization lists Michael Bettiga, Executive Vp & Coo, as its authorized official.

NPPES Registry Identity

NPI1376842286
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address705 NORTHLAND DRPrinceton, MN 55371-2168
Mailing Address700 Pilgrim Way, Po Box 19060Green Bay, WI 54304-5263 · (920) 429-7137 · Fax (920) 429-4649
Phone(763) 389-3111
Fax(763) 389-1621
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vp & Coo · (920) 429-4297
Enumeration DateMarch 17, 2011
Last NPPES UpdateDecember 9, 2011
✔ NPI 1376842286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 263663
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License 263663 (MN)
705 NORTHLAND DR, Princeton, MN 55371
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Other Names 1

Doing Business AsShopko Pharmacy

Other Identifiers 3

Other2430786Ncpdp Provider Identification Number
Medicaid1376842286MN
Medicare NSC5695760150

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMIDA STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
705 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-3111
MRS. JACALYN NELSON RPH
Pharmacist
705 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1376842286. It was assigned to this organization in the NPPES registry on March 17, 2011. The provider is doing business as Shopko Pharmacy.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 705 Northland Dr, Princeton, MN 55371. The listed phone number is (763) 389-3111.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.